Responsibilities:

• Analyze reimbursement performance by comparing expected vs. actual payments and identifying trends, variances, and financial risks.
• Develop payer benchmarking, revenue trend analysis, and financial forecasting to support leadership decision-making.
• Build and enhance contract and reimbursement models, including value-based payment components and scenario analyses.
• Partner with Managed Care and Finance teams to support payer negotiations through financial impact and risk assessments.
• Present clear, executive-level insights and recommendations based on complex financial and claims data.

Qualifications:

• Bachelor’s degree in Finance, Accounting, Economics, Health Administration, or related field.
• 3+ years of experience in healthcare financial analysis, payer analytics, or managed care.
• Experience with reimbursement models (e.g., DRG, fee schedules, ...